Provider Demographics
NPI:1447820337
Name:LINDALL, ERICA (LMFT-IT)
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:
Last Name:LINDALL
Suffix:
Gender:F
Credentials:LMFT-IT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:524 W VERONA AVE
Mailing Address - Street 2:
Mailing Address - City:VERONA
Mailing Address - State:WI
Mailing Address - Zip Code:53593-1435
Mailing Address - Country:US
Mailing Address - Phone:608-845-2081
Mailing Address - Fax:
Practice Address - Street 1:524 W VERONA AVE
Practice Address - Street 2:
Practice Address - City:VERONA
Practice Address - State:WI
Practice Address - Zip Code:53593-1435
Practice Address - Country:US
Practice Address - Phone:608-845-2081
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-01
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI798-228106H00000X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist